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;0.01) such that lower-quality studies were significantly associated with larger effect sizes. Study quality was generally low; the majority of studies were cross-sectional. Solitary drinking appears to have a small positive association with alcohol problems. Solitary drinking appears to have a small positive association with alcohol problems. Alcohol use disorder (AUD) is characterized by extremely high rates of postresidential treatment relapse, and as such, continuing care to prevent relapse has become an important element in AUD tre